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NPI Profile for Dr LISA A JEDACEK in BRONX, NY.
A dentist who has successfully completed an accredited postdoctoral anesthesiology residency training program for dentists of two or more years duration, in accord with Commission on Dental Accreditation’s Standards for Dental Anesthesiology Residency Programs, and/or meets the eligibility requirements for examination by the American Dental Board of Anesthesiology.
Specialty |
Taxonomy Code | Specialty Code | Provider Type | |
Dentist Anesthesiologist |
1223D0004X | |||
Dentist |
122300000X |
| NPI Number | 1528650710 |
|
| Status | Active | |
| Credentials | DMD, MPH | |
| Entity | Individual | |
| Enumeration date | 02/09/2021 | |
| Last updated | 07/09/2024 - More than a year ago | |
| Sole proprietor 1 | No | |
| Identifiers |
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|
| Hospital affiliation(s) | Not Available |
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LISA A JEDACEK
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LISA A JEDACEK, DMD, MPH